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三级护理教学医院高血压患者的健康相关生活质量

Health related quality of life in hypertensive patients in a tertiary care teaching hospital.

作者信息

Oza Bhavit B, Patel Bela M, Malhotra Supriya D, Patel Varsha J

出版信息

J Assoc Physicians India. 2014 Oct;62(10):22-9.

Abstract

BACKGROUND

Quality of life (QOL) evaluation has emerged as an important outcome measure for chronic diseases like hypertension.

AIMS

To determine QOL in patients suffering from hypertension using MINICHAL and WHOQOL-BREF tools.

METHODS AND MATERIAL

The study was carried out for eight weeks in medicine outpatient department of a tertiary care hospital. All patients diagnosed with essential hypertension and on drug therapy for at least one month were included. Their socio-demographic and clinical data were noted. Patients were interviewed for QOL using two questionnaires - WHOQOL-BREF and MINICHAL scale.

RESULTS

Total 269 patients had mean age and duration of hypertension 58.25 ± 10.35 and 7.65 ± 8.00 years respectively. Age, duration of illness, number of symptoms, systolic blood pressure and number of drugs prescribed showed statistically significant (P < 0.05) negative correlation with WHOQOL-BREF score while number of symptoms, systolic blood pressure and duration of illness showed statistically significant positive correlation with MINICHAL scale (P < 0.05). MINICHAL scale and WHOQOL-BREF were significantly correlated with each other (P < 0.01). Women had significantly poorer QOL compared to men.

CONCLUSIONS

Age, female gender, duration, number of symptoms, systolic blood pressure and number of medications may be important predictors of QOL in hypertensive patients.

摘要

背景

生活质量(QOL)评估已成为高血压等慢性病的一项重要结局指标。

目的

使用MINICHAL和世界卫生组织生活质量简表(WHOQOL - BREF)工具测定高血压患者的生活质量。

方法和材料

该研究在一家三级护理医院的内科门诊进行了八周。纳入所有诊断为原发性高血压且接受药物治疗至少一个月的患者。记录他们的社会人口统计学和临床数据。使用两份问卷——世界卫生组织生活质量简表(WHOQOL - BREF)和MINICHAL量表对患者进行生活质量访谈。

结果

总共269名患者的平均年龄和高血压病程分别为58.25±10.35岁和7.65±8.00年。年龄、病程、症状数量、收缩压和所开药物数量与世界卫生组织生活质量简表(WHOQOL - BREF)评分呈统计学显著负相关(P<0.05),而症状数量、收缩压和病程与MINICHAL量表呈统计学显著正相关(P<0.05)。MINICHAL量表和世界卫生组织生活质量简表(WHOQOL - BREF)相互之间显著相关(P<0.01)。女性的生活质量明显比男性差。

结论

年龄、性别、病程、症状数量、收缩压和用药数量可能是高血压患者生活质量的重要预测因素。

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